Suppr超能文献

等待肝移植患者的疾病不确定感。

Illness Uncertainty in Patients Awaiting Liver Transplant.

机构信息

School of Nursing, Duke University, Durham, NC, USA.

Center for Health Policy & Inequalities Research, Duke University, Durham, NC, USA.

出版信息

West J Nurs Res. 2021 Jun;43(6):509-516. doi: 10.1177/0193945920952059. Epub 2020 Aug 25.

Abstract

Illness uncertainty is prevalent in patients awaiting liver transplant. We described high levels of illness uncertainty in these patients and examined relationships between uncertainty and person factors and the antecedents of uncertainty. Mishel uncertainty in illness scale was used to measure illness uncertainty. We used modes and interquartile range (IQR) to describe illness uncertainty levels in 115 patients. Multiple logistic and linear regression models estimated the associations of uncertainty with hypothesized antecedents. High total illness uncertainty score was reported by 15.6% of the patients. After adjusting for all variables, illness uncertainty was associated with two antecedents of uncertainty, low social well-being (OR = 0.816;  = .025) and low self-efficacy (OR = 0.931;  = .013). Complexity was negatively associated with social well-being; ambiguity and inconsistency were negatively associated with self-efficacy. One in seven patients experienced high illness uncertainty. Social well-being and self-efficacy were negatively related to illness uncertainty.

摘要

在等待肝移植的患者中,普遍存在疾病不确定性。我们描述了这些患者的高度疾病不确定性,并研究了不确定性与个体因素以及不确定性的前因之间的关系。使用Mishel 疾病不确定感量表来衡量疾病不确定性。我们使用模式和四分位距(IQR)来描述 115 名患者的疾病不确定性水平。多元逻辑回归和线性回归模型估计了不确定性与假设前因之间的关联。15.6%的患者报告了较高的总体疾病不确定性评分。在调整所有变量后,疾病不确定性与两个不确定性前因有关,即低社会福利(OR=0.816;=0.025)和低自我效能(OR=0.931;=0.013)。复杂性与社会福利呈负相关;模糊性和不一致性与自我效能呈负相关。每七个患者中就有一个经历了高度的疾病不确定性。社会福利和自我效能与疾病不确定性呈负相关。

相似文献

1
Illness Uncertainty in Patients Awaiting Liver Transplant.
West J Nurs Res. 2021 Jun;43(6):509-516. doi: 10.1177/0193945920952059. Epub 2020 Aug 25.
2
Randomized trial of an uncertainty self-management telephone intervention for patients awaiting liver transplant.
Patient Educ Couns. 2017 Mar;100(3):509-517. doi: 10.1016/j.pec.2016.10.017. Epub 2016 Oct 18.
3
Adaptation of the Mishel Uncertainty of Illness Scale (MUIS) for chronic patients in Italy.
J Eval Clin Pract. 2015 Aug;21(4):649-55. doi: 10.1111/jep.12359. Epub 2015 Apr 25.
5
Prospective impact of illness uncertainty on outcomes in chronic lung disease.
Health Psychol. 2013 Nov;32(11):1170-4. doi: 10.1037/a0032721. Epub 2013 Jun 17.
6
Uncertainty among patients with advanced-stage lung cancer.
Int J Palliat Nurs. 2024 Apr 2;30(4):160-169. doi: 10.12968/ijpn.2024.30.4.160.
7
Uncertainty and liver transplantation: women with primary biliary cirrhosis before and after transplant.
Women Health. 2010 Jun;50(4):359-75. doi: 10.1080/03630242.2010.498750.
8
Factors Associated with Medication Non-adherence in Patients with End-Stage Liver Disease.
Dig Dis Sci. 2017 Feb;62(2):543-549. doi: 10.1007/s10620-016-4391-z. Epub 2016 Dec 8.
9
Uncertainty in illness among patients with chronic heart failure is less in person-centred care than in usual care.
Eur J Cardiovasc Nurs. 2013 Dec;12(6):521-8. doi: 10.1177/1474515112472270. Epub 2013 Jan 9.
10
Uncertainty of Acute Stroke Patients: A Cross-sectional Descriptive and Correlational Study.
J Neurosci Nurs. 2018 Aug;50(4):238-243. doi: 10.1097/JNN.0000000000000373.

本文引用的文献

1
The work and relatedness of ties mediated online in supporting long-term condition self-management.
Sociol Health Illn. 2020 Mar;42(3):579-595. doi: 10.1111/1467-9566.13042. Epub 2019 Nov 25.
2
Factors Associated With Uncertainty in Patients Scheduled to Undergo Hematopoietic Stem Cell Transplantation.
Cancer Nurs. 2020 Nov/Dec;43(6):E335-E341. doi: 10.1097/NCC.0000000000000773.
3
Impact of psychosocial status on liver transplant process.
Ann Hepatol. 2019 Nov-Dec;18(6):804-809. doi: 10.1016/j.aohep.2019.06.011. Epub 2019 Aug 20.
4
Impact of Hepatic Encephalopathy in Cirrhosis on Quality-of-Life Issues.
Drugs. 2019 Feb;79(Suppl 1):11-16. doi: 10.1007/s40265-018-1019-y.
5
Randomized trial of an uncertainty self-management telephone intervention for patients awaiting liver transplant.
Patient Educ Couns. 2017 Mar;100(3):509-517. doi: 10.1016/j.pec.2016.10.017. Epub 2016 Oct 18.
6
Anxiety and Stress Levels on Liver Transplantation Candidates.
Transplant Proc. 2016 Sep;48(7):2333-2337. doi: 10.1016/j.transproceed.2016.06.031.
7
Social Media Use by Transplant Recipients for Support and Healing.
Comput Inform Nurs. 2016 Dec;34(12):570-577. doi: 10.1097/CIN.0000000000000276.
8
Managing uncertainty in advanced liver disease: a qualitative, multiperspective, serial interview study.
BMJ Open. 2015 Nov 19;5(11):e009241. doi: 10.1136/bmjopen-2015-009241.
9
Neurosurgical management of adult diffuse low grade gliomas in Canada: a multi-center survey.
J Neurooncol. 2016 Jan;126(1):137-149. doi: 10.1007/s11060-015-1949-0. Epub 2015 Oct 10.
10
Palliative care for patients with end-stage liver disease.
Curr Gastroenterol Rep. 2015 May;17(5):440. doi: 10.1007/s11894-015-0440-6.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验